SECTION 47.81. Monitoring Medicaid Eligibility

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(a) Applicability. This section does not apply to individuals who are receiving FC Program services.
(b) Verification of Medicaid eligibility. A provider must verify each month that an individual remains Medicaid eligible. A provider may verify the individual's current Medicaid eligibility by:
(1) viewing the individual's HHSC Medicaid Identification form; or
(2) using the current systems available to verify the individual's Medicaid eligibility.
(c) Reimbursement. HHSC does not pay a provider for services delivered to an individual who is not eligible for Medicaid at the time the provider delivered the services.

Source Note: The provisions of this §47.81 adopted to be effective June 1, 2004, 29 TexReg 5113; amended to be effective June 1, 2009, 34 TexReg 2802; amended to be effective October 1, 2019, 44 TexReg 5138

                    
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